| NPI | 1821873621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW ADAM BEYAK Owner 719-433-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-09-07 |